Adjustment disorder is a group of symptoms, such as stress, feeling sad or hopeless, and physical symptoms that can occur after you go through a stressful life event.
The symptoms occur because you are having a hard time coping. Your reaction is stronger than expected for the type of event that occurred.
Many different events may trigger symptoms of an adjustment disorder. Whatever the trigger is, the event may become too much for you.
Stressors for people of any age include:
Triggers of stress in teenagers and young adults may include:
There is no way to predict which people who are affected by the same stress are likely to develop adjustment disorder. Your social skills before the event, and how you have learned to deal with stress in the past may play roles.
Symptoms of adjustment disorder are often severe enough to affect work or social life. Symptoms include:
To have adjustment disorder, you must have the following:
Sometimes, symptoms can be severe and the person may have thoughts of suicide or make a suicide attempt.
Exams and Tests
Your health care provider will do a mental health assessment to find out about your behavior and symptoms. You may be referred to a psychiatrist to confirm the diagnosis.
The main goal of treatment is to relieve symptoms and help you return to a similar level of functioning as before the stressful event occurred.
Most mental health professionals recommend some type of talk therapy. This type of therapy can help you identify or change your responses to the stressors in your life.
Cognitive behavioral therapy (CBT) is a type of talk therapy. It can help you deal with your feelings:
Other types of therapy may include:
Medicines may be used, but only along with talk therapy. These medicines may help if you are:
With the right help and support, you should get better quickly. The problem usually does not last longer than 6 months, unless the stressor continues to be present.
When to Contact a Medical Professional
Call for an appointment with your provider if you develop symptoms of adjustment disorder.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Publishing. 2013.
Powell AD. Grief, bereavement, and adjustment disorders. In: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016:chap 38.
Strain JJ, Friedman MJ. Adjustment disorders. In: Gabbard GO, ed. Gabbard's Treatments of Psychiatric Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2014:chap 29.
Review Date: 2/2/2016
Reviewed By: Fred K. Berger, MD, addiction and forensic psychiatrist, Scripps Memorial Hospital, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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